| NPI | 1245016716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11035672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9632066) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-10-03 |